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Submitted URL: http://support.no-hunger.org/site/R?i=JZuVay-tO5CfZvqmdkwDJBKDHPOEsseVTJ2hGWAnQ0Pkw2pfpslMOA
Effective URL: https://secure.no-hunger.org/site/Donation2;jsessionid=00000000.app20103b?df_id=6800&mfc_pref=T&6800.donation=form1&s_src=MR-...
Submission: On March 13 via manual from US — Scanned from NO
Effective URL: https://secure.no-hunger.org/site/Donation2;jsessionid=00000000.app20103b?df_id=6800&mfc_pref=T&6800.donation=form1&s_src=MR-...
Submission: On March 13 via manual from US — Scanned from NO
Form analysis 1 forms found in the DOM
Name: process — POST https://secure.no-hunger.org/site/Donation2
<form name="process" id="ProcessForm" action="https://secure.no-hunger.org/site/Donation2" method="post" onsubmit="return checkDoubleClick();">
<div class="donation-form-container responsive">
<script type="text/javascript">
<!--
function reloadPage() {
window.location.reload(true);
}
function testAjax() {
var xmlHttp = null;
// Opera 8.0+, Firefox, Chrome, Safari
try {
xmlHttp = new XMLHttpRequest();
} catch (e) {
// Internet Explorer Browsers
try {
xmlHttp = new ActiveXObject("Msxml2.XMLHTTP");
} catch (e) {
try {
xmlHttp = new ActiveXObject("Microsoft.XMLHTTP");
} catch (e) {
return false;
}
}
}
xmlHttp.open('POST', 'AjaxHelper;jsessionid=00000000.app20103b?NONCE_TOKEN=59E6E496066D7CBDB11E433352801BB2', true);
xmlHttp.send();
}
addOnLoadHandler(testAjax);
//
-->
</script>
<div class="donation-form-content">
<input type="hidden" name="user_donation_amt" id="user_donation_amt" value="">
<input type="hidden" name="company_min_matching_amt" id="company_min_matching_amt" value="">
<input type="hidden" name="currency_locale" id="currency_locale" value="en_US">
<div class="form-row">
<div class="html-caption-container">
<h3>Help buy a van to deliver food to more hungry neighbors</h3>
<p>With more people in our community facing hunger, Second Harvest needs to deliver 20% more meals for children and seniors to locations across South Louisiana this summer. That's enough for three full new meal delivery routes! Without a
new van, we simply won't be able to reach everyone who needs meals this summer. </p>
<br>
<p>Make a gift today to help raise $50,000 for a new meal delivery van by 3/15.</p>
<br>
<p>Looking to make a gift in honor of a loved one? Go to
<a href="https://secure.no-hunger.org/site/Donation2?df_id=6180&mfc_pref=T&6180.donation=form1&s_src=tribute&utm_source=owned&utm_medium=web&utm_campaign=default" target="_blank" style="text-decoration:underline; color: #f19d34; font-weight: bold;">this page</a>.
</p>
</div>
</div>
<div class="form-row">
<div class="html-caption-container">
<h4 class="section-header">Gift Amount <small>(Required)</small></h4>
</div>
</div>
<div class="form-row">
<div class="html-caption-container">
<!-- Donation Recurring Toggle -->
<div class="donation-recurring-toggle">
<div class="toggle-button radio-button">
<input type="radio" name="js-recurring" id="js-recurring-false" value="false">
<label for="js-recurring-false" class="button"> One-Time </label>
</div>
<div class="toggle-button radio-button">
<input type="radio" name="js-recurring" id="js-recurring-true" value="true">
<label for="js-recurring-true" class="button"> Monthly </label>
</div>
</div>
<div class="donation-recurring-nudge">
<p> Giving monthly is the most effective way to help us fight hunger year-round. </p>
</div>
</div>
</div>
<div id="level_standard_row">
<div class="don-standard-levels form-row">
<div class="levels-label">
</div>
<div id="level_standard_row" class="form-row form-donation-level">
<div class="form-content">
<span class="field-required"></span> <span class="aural-only">Field Is Required</span>
<span class="FormLabelText">Enter A Gift Amount:</span>
<div class="donation-level-general-ask">
</div>
<div class="donation-levels">
<div class="donation-level-container onetime" style="display: block;">
<div class="form-content">
<div class="donation-level-input-container form-input">
<div class="donation-level-label-input-container">
<input type="radio" name="level_standardexpanded" id="level_standardexpanded11263" value="11263" checked="checked" onclick="evalMatchingGift('$100.00');
updateDonorCoverAmount('$100.00');">
</div>
<label for="level_standardexpanded11263" onclick="" class="active">
<div class="donation-level-amount-container"> $100.00 </div>
<div class="donation-level-label-container"> $100 </div>
</label>
<div class="donation-level-expanded-label"> Helps provide 400 meals </div>
</div>
<input type="hidden" name="level_standardexpandedsubmit" id="level_standard_11263expandedsubmit" value="true">
</div>
</div>
<div class="donation-level-container onetime" style="display: block;">
<div class="form-content">
<div class="donation-level-input-container form-input">
<div class="donation-level-label-input-container">
<input type="radio" name="level_standardexpanded" id="level_standardexpanded11265" value="11265" onclick="evalMatchingGift('$150.00');
updateDonorCoverAmount('$150.00');">
</div>
<label for="level_standardexpanded11265" onclick="">
<div class="donation-level-amount-container"> $150.00 </div>
<div class="donation-level-label-container"> $150 </div>
</label>
<div class="donation-level-expanded-label"> Helps provide 600 meals </div>
</div>
<input type="hidden" name="level_standardexpandedsubmit" id="level_standard_11265expandedsubmit" value="true">
</div>
</div>
<div class="donation-level-container onetime" style="display: block;">
<div class="form-content">
<div class="donation-level-input-container form-input">
<div class="donation-level-label-input-container">
<input type="radio" name="level_standardexpanded" id="level_standardexpanded11267" value="11267" onclick="evalMatchingGift('$200.00');
updateDonorCoverAmount('$200.00');">
</div>
<label for="level_standardexpanded11267" onclick="">
<div class="donation-level-amount-container"> $200.00 </div>
<div class="donation-level-label-container"> $200 </div>
</label>
<div class="donation-level-expanded-label"> Helps provide 800 meals </div>
</div>
<input type="hidden" name="level_standardexpandedsubmit" id="level_standard_11267expandedsubmit" value="true">
</div>
</div>
<div class="donation-level-container onetime" style="display: block;">
<div class="form-content">
<div class="donation-level-input-container form-input">
<div class="donation-level-label-input-container">
<input type="radio" name="level_standardexpanded" id="level_standardexpanded11262" value="11262" onclick="evalMatchingGift('$500.00');
updateDonorCoverAmount('$500.00');">
</div>
<label for="level_standardexpanded11262" onclick="">
<div class="donation-level-amount-container"> $500.00 </div>
<div class="donation-level-label-container"> $500 </div>
</label>
<div class="donation-level-expanded-label"> Helps provide 2000 meals </div>
</div>
<input type="hidden" name="level_standardexpandedsubmit" id="level_standard_11262expandedsubmit" value="true">
</div>
</div>
<div class="donation-level-container other onetime" style="display: block;">
<div class="form-content">
<div class="donation-level-input-container form-input">
<div class="donation-level-label-input-container">
<input type="radio" name="level_standardexpanded" id="level_standardexpanded11270" value="11270" onclick="evalMatchingGift(document.getElementById('level_standardexpanded11270amount').value);
updateDonorCoverAmount(document.getElementById('level_standardexpanded11270amount').value);">
</div>
<label for="level_standardexpanded11270" onclick="">
<div class="donation-level-label-container"> Other </div>
</label>
<div class="donation-level-user-entered">
<label for="level_standardexpanded11270amount"><span class="aural-only">Enter amount</span></label>
<input type="text" name="level_standardexpanded11270amount" id="level_standardexpanded11270amount" value="" size="12" maxlength="50"
onfocus="var el = document.getElementById ('level_standardexpanded11270');if (el) el.click(); fire_obs_comp_event('level_standardexpanded11270amount', this, event);evalMatchingGift(value); "
onchange="fire_obs_comp_event('level_standardexpanded11270amount', this, event);evalMatchingGift(value);" onkeyup="fire_obs_comp_event('level_standardexpanded11270amount', this, event);evalMatchingGift(value);"
onblur="fire_obs_comp_event('level_standardexpanded11270amount', this);updateDonorCoverAmount(value);" placeholder="Other">
</div>
</div>
<input type="hidden" name="level_standardexpandedsubmit" id="level_standard_11270expandedsubmit" value="true">
</div>
</div>
<div class="donation-level-container monthly" style="display: none;">
<div class="form-content">
<div class="donation-level-input-container form-input">
<div class="donation-level-label-input-container">
<input type="radio" name="level_standardexpanded" id="level_standardexpanded11261" value="11261" onclick="evalMatchingGift('$15.00');
updateDonorCoverAmount('$15.00');">
</div>
<label for="level_standardexpanded11261" onclick="">
<div class="donation-level-amount-container"> $15.00 </div>
<div class="donation-level-label-container"> $15 / mo </div>
</label>
</div>
<input type="hidden" name="level_standardexpandedsubmit" id="level_standard_11261expandedsubmit" value="true">
</div>
</div>
<div class="donation-level-container monthly" style="display: none;">
<div class="form-content">
<div class="donation-level-input-container form-input">
<div class="donation-level-label-input-container">
<input type="radio" name="level_standardexpanded" id="level_standardexpanded11269" value="11269" onclick="evalMatchingGift('$25.00');
updateDonorCoverAmount('$25.00');">
</div>
<label for="level_standardexpanded11269" onclick="">
<div class="donation-level-amount-container"> $25.00 </div>
<div class="donation-level-label-container"> $25 / mo </div>
</label>
</div>
<input type="hidden" name="level_standardexpandedsubmit" id="level_standard_11269expandedsubmit" value="true">
</div>
</div>
<div class="donation-level-container monthly" style="display: none;">
<div class="form-content">
<div class="donation-level-input-container form-input">
<div class="donation-level-label-input-container">
<input type="radio" name="level_standardexpanded" id="level_standardexpanded11264" value="11264" onclick="evalMatchingGift('$35.00');
updateDonorCoverAmount('$35.00');">
</div>
<label for="level_standardexpanded11264" onclick="">
<div class="donation-level-amount-container"> $35.00 </div>
<div class="donation-level-label-container"> $35 / mo </div>
</label>
</div>
<input type="hidden" name="level_standardexpandedsubmit" id="level_standard_11264expandedsubmit" value="true">
</div>
</div>
<div class="donation-level-container monthly" style="display: none;">
<div class="form-content">
<div class="donation-level-input-container form-input">
<div class="donation-level-label-input-container">
<input type="radio" name="level_standardexpanded" id="level_standardexpanded11266" value="11266" onclick="evalMatchingGift('$50.00');
updateDonorCoverAmount('$50.00');">
</div>
<label for="level_standardexpanded11266" onclick="">
<div class="donation-level-amount-container"> $50.00 </div>
<div class="donation-level-label-container"> $50 / mo </div>
</label>
</div>
<input type="hidden" name="level_standardexpandedsubmit" id="level_standard_11266expandedsubmit" value="true">
</div>
</div>
<div class="donation-level-container other monthly" style="display: none;">
<div class="form-content">
<div class="donation-level-input-container form-input">
<div class="donation-level-label-input-container">
<input type="radio" name="level_standardexpanded" id="level_standardexpanded11268" value="11268" onclick="evalMatchingGift(document.getElementById('level_standardexpanded11268amount').value);
updateDonorCoverAmount(document.getElementById('level_standardexpanded11268amount').value);">
</div>
<label for="level_standardexpanded11268" onclick="">
<div class="donation-level-label-container"> Other / mo </div>
</label>
<div class="donation-level-user-entered">
<label for="level_standardexpanded11268amount"><span class="aural-only">Enter amount</span></label>
<input type="text" name="level_standardexpanded11268amount" id="level_standardexpanded11268amount" value="" size="12" maxlength="50"
onfocus="var el = document.getElementById ('level_standardexpanded11268');if (el) el.click(); fire_obs_comp_event('level_standardexpanded11268amount', this, event);evalMatchingGift(value); "
onchange="fire_obs_comp_event('level_standardexpanded11268amount', this, event);evalMatchingGift(value);" onkeyup="fire_obs_comp_event('level_standardexpanded11268amount', this, event);evalMatchingGift(value);"
onblur="fire_obs_comp_event('level_standardexpanded11268amount', this);updateDonorCoverAmount(value);" placeholder="Other">
</div>
</div>
<input type="hidden" name="level_standardexpandedsubmit" id="level_standard_11268expandedsubmit" value="true">
</div>
</div>
</div>
</div>
<script type="text/javascript">
Y.use("jquery-ui", function(Y) {
jQuery(function() {
// subscribe observables
jQuery('div.donation-level-element-container').find('input[type="radio"]').each(function() {
var syncAction = function(obj) {
if (obj.is(':checked')) {
obj.closest('div.donation-level-container').addClass('selected');
} else {
obj.closest('div.donation-level-container').removeClass('selected');
};
return arguments.callee;
}(jQuery(this));
jQuery(this).click(function() {
jQuery('div.donation-level-container').removeClass('selected');
syncAction(jQuery(this));
});
});
});
});
</script><noscript> </noscript>
</div>
<div class="levels-gift-aid">
</div>
<input type="hidden" name="level_standardsubmit" id="level_standardsubmit" value="true">
<script type="text/javascript">
function updateDonorCoverAmount(gift) {
if (typeof updateAmount !== "undefined") {
updateAmount(gift);
}
};
function evalMatchingGift(gift) {}
</script><noscript> </noscript>
</div>
<div class="donation-level-container-generic-repeat form-input">
<div class="generic-repeat-label-checkbox-container">
<input type="checkbox" name="level_standardauto_repeatname" id="level_standardauto_repeatname" onclick="fire_obs_comp_event('level_standardauto_repeat', this);" onkeypress="fire_obs_comp_event('level_standardauto_repeat', this);">
<label for="level_standardauto_repeatname"> Make this an automatic monthly gift. </label>
</div>
<input type="hidden" name="level_standardauto_repeatsubmit" id="level_standardauto_repeatsubmit" value="true">
</div>
<script type="text/javascript">
// subscribe listeners to make an ajax call to the server to calculate the total amount
Y.use('jquery-noconflict', function() {
var fetchAmountFunc = function() {
// find all the select, textarea, input, etc... and format them into key=val pairs.
var params = jQuery('#level_standard_row :input').serialize();
// parse the path and append the key/value pairs above to the url
var url = 'https://secure.no-hunger.org/site/Donation2?idb=1165781486&level_standardajaxfetch=true&df_id=6800&mfc_pref=T&6800.donation=form1&level_standardtotalcalculateBtn=true';
var index = url.indexOf("?");
var path = url.substring(0, index);
var args = url.substring(index + 1, url.length);
args += '&' + params;
var recurringGiftTermsContainer = jQuery('#recurring_gift_terms_acceptance_message_container');
if (recurringGiftTermsContainer && recurringGiftTermsContainer.length > 0) {
jQuery.ajax(path, {
data: args,
success: function(data) {
jQuery('#recurring_gift_terms_acceptance_message_container').trigger("recurringTermsChange");
}
});
}
};
jQuery('#level_standard_row :input[type=text]').blur(function() {
fetchAmountFunc();
});
jQuery('#level_standard_row input:checkbox, #level_standard_row input:radio').click(function() {
fetchAmountFunc();
});
jQuery('#level_standard_row select').change(function() {
fetchAmountFunc();
});
// call it on page load
fetchAmountFunc();
});
</script><noscript> </noscript>
</div>
<div class="form-row">
<div class="html-caption-container">
<div class="meal-calculation" style="display: block;">
<h3> Will provide <span class="js-meal-calculation">300</span> meals. </h3>
</div>
</div>
</div>
<input type="hidden" name="tribute_typehidden" id="tribute_typehidden" value="">
<input type="hidden" name="tribute_honoree_namehidden" id="tribute_honoree_namehidden" value="">
<input type="hidden" name="tribute_notify_recip_namehidden" id="tribute_notify_recip_namehidden" value="">
<input type="hidden" name="tribute_notify_recip_street1hidden" id="tribute_notify_recip_street1hidden" value="">
<input type="hidden" name="tribute_notify_recip_cityhidden" id="tribute_notify_recip_cityhidden" value="">
<input type="hidden" name="tribute_notify_recip_statehidden" id="tribute_notify_recip_statehidden" value="">
<input type="hidden" name="tribute_notify_recip_ziphidden" id="tribute_notify_recip_ziphidden" value="">
<div class="form-row">
<div class="html-caption-container">
<h4 class="section-header">Billing Information <small>(Required)</small></h4>
</div>
</div>
<div id="billing_first_name_row" class="form-row form-text">
<div class="form-content">
<span class="field-required"></span>
<label for="billing_first_namename">First Name:</label>
<input type="text" name="billing_first_namename" id="billing_first_namename" value="" maxlength="50">
<input type="hidden" name="billing_first_namesubmit" id="billing_first_namesubmit" value="true">
<script type="text/javascript">
var comp = new ObservableComponent('billing_first_name', 'name');
comp.hide = function(_hidden) {
var _display = _hidden ? 'none' : '';
set_display('billing_first_name_row', _display);
this.disable_submit_flag(_hidden);
}
</script><noscript> </noscript>
</div>
</div>
<div id="billing_last_name_row" class="form-row form-text">
<div class="form-content">
<span class="field-required"></span>
<label for="billing_last_namename">Last Name:</label>
<input type="text" name="billing_last_namename" id="billing_last_namename" value="" maxlength="50">
<input type="hidden" name="billing_last_namesubmit" id="billing_last_namesubmit" value="true">
<script type="text/javascript">
var comp = new ObservableComponent('billing_last_name', 'name');
comp.hide = function(_hidden) {
var _display = _hidden ? 'none' : '';
set_display('billing_last_name_row', _display);
this.disable_submit_flag(_hidden);
}
</script><noscript> </noscript>
</div>
</div>
<div id="billing_addr_street1_row" class="form-row form-text">
<div class="form-content">
<span class="field-required"></span>
<label for="billing_addr_street1name">Street 1:</label>
<input type="text" name="billing_addr_street1name" id="billing_addr_street1name" value="" maxlength="50">
<input type="hidden" name="billing_addr_street1submit" id="billing_addr_street1submit" value="true">
<script type="text/javascript">
var comp = new ObservableComponent('billing_addr_street1', 'name');
comp.hide = function(_hidden) {
var _display = _hidden ? 'none' : '';
set_display('billing_addr_street1_row', _display);
this.disable_submit_flag(_hidden);
}
</script><noscript> </noscript>
</div>
</div>
<div id="billing_addr_street2_row" class="form-row form-text">
<div class="form-content">
<label for="billing_addr_street2name">Street 2:</label>
<input type="text" name="billing_addr_street2name" id="billing_addr_street2name" value="" maxlength="50">
<input type="hidden" name="billing_addr_street2submit" id="billing_addr_street2submit" value="true">
<script type="text/javascript">
var comp = new ObservableComponent('billing_addr_street2', 'name');
comp.hide = function(_hidden) {
var _display = _hidden ? 'none' : '';
set_display('billing_addr_street2_row', _display);
this.disable_submit_flag(_hidden);
}
</script><noscript> </noscript>
</div>
</div>
<div id="billing_addr_city_row" class="form-row form-text">
<div class="form-content">
<span class="field-required"></span>
<label for="billing_addr_cityname">City:</label>
<input type="text" name="billing_addr_cityname" id="billing_addr_cityname" value="" maxlength="50">
<input type="hidden" name="billing_addr_citysubmit" id="billing_addr_citysubmit" value="true">
<script type="text/javascript">
var comp = new ObservableComponent('billing_addr_city', 'name');
comp.hide = function(_hidden) {
var _display = _hidden ? 'none' : '';
set_display('billing_addr_city_row', _display);
this.disable_submit_flag(_hidden);
}
</script><noscript> </noscript>
</div>
</div>
<div id="billing_addr_state_row" class="form-row form-selectlist">
<div class="form-content">
<span class="field-required"></span>
<label class="FormLabel" for="billing_addr_state">State/Province:</label>
<select name="billing_addr_state" id="billing_addr_state" size="1" onchange="fire_obs_comp_event('billing_addr_state', this)">
<option></option>
<option value="AK">AK - Alaska</option>
<option value="AL">AL - Alabama</option>
<option value="AR">AR - Arkansas</option>
<option value="AZ">AZ - Arizona</option>
<option value="CA">CA - California</option>
<option value="CO">CO - Colorado</option>
<option value="CT">CT - Connecticut</option>
<option value="DC">DC - District of Columbia</option>
<option value="DE">DE - Delaware</option>
<option value="FL">FL - Florida</option>
<option value="GA">GA - Georgia</option>
<option value="HI">HI - Hawaii</option>
<option value="IA">IA - Iowa</option>
<option value="ID">ID - Idaho</option>
<option value="IL">IL - Illinois</option>
<option value="IN">IN - Indiana</option>
<option value="KS">KS - Kansas</option>
<option value="KY">KY - Kentucky</option>
<option value="LA">LA - Louisiana</option>
<option value="MA">MA - Massachusetts</option>
<option value="MD">MD - Maryland</option>
<option value="ME">ME - Maine</option>
<option value="MI">MI - Michigan</option>
<option value="MN">MN - Minnesota</option>
<option value="MO">MO - Missouri</option>
<option value="MS">MS - Mississippi</option>
<option value="MT">MT - Montana</option>
<option value="NC">NC - North Carolina</option>
<option value="ND">ND - North Dakota</option>
<option value="NE">NE - Nebraska</option>
<option value="NH">NH - New Hampshire</option>
<option value="NJ">NJ - New Jersey</option>
<option value="NM">NM - New Mexico</option>
<option value="NV">NV - Nevada</option>
<option value="NY">NY - New York</option>
<option value="OH">OH - Ohio</option>
<option value="OK">OK - Oklahoma</option>
<option value="OR">OR - Oregon</option>
<option value="PA">PA - Pennsylvania</option>
<option value="RI">RI - Rhode Island</option>
<option value="SC">SC - South Carolina</option>
<option value="SD">SD - South Dakota</option>
<option value="TN">TN - Tennessee</option>
<option value="TX">TX - Texas</option>
<option value="UT">UT - Utah</option>
<option value="VA">VA - Virginia</option>
<option value="VT">VT - Vermont</option>
<option value="WA">WA - Washington</option>
<option value="WI">WI - Wisconsin</option>
<option value="WV">WV - West Virginia</option>
<option value="WY">WY - Wyoming</option>
<option value="AS">AS - American Samoa</option>
<option value="FM">FM - Federated States of Micronesia</option>
<option value="GU">GU - Guam</option>
<option value="MH">MH - Marshall Islands</option>
<option value="MP">MP - Northern Mariana Islands</option>
<option value="PR">PR - Puerto Rico</option>
<option value="PW">PW - Palau</option>
<option value="VI">VI - Virgin Islands</option>
<option value="AA">AA - Armed Forces Americas</option>
<option value="AE">AE - Armed Forces</option>
<option value="AP">AP - Armed Forces Pacific</option>
<option value="AB">AB - Alberta</option>
<option value="BC">BC - British Columbia</option>
<option value="MB">MB - Manitoba</option>
<option value="NB">NB - New Brunswick</option>
<option value="NL">NL - Newfoundland and Labrador</option>
<option value="NS">NS - Nova Scotia</option>
<option value="NT">NT - Northwest Territories</option>
<option value="NU">NU - Nunavut</option>
<option value="ON">ON - Ontario</option>
<option value="PE">PE - Prince Edward Island</option>
<option value="QC">QC - Quebec</option>
<option value="SK">SK - Saskatchewan</option>
<option value="YT">YT - Yukon</option>
<option value="None">None</option>
</select>
<script type="text/javascript">
<!--
var comp = new ObservableComponent('billing_addr_state', '');
comp.hide = function(_hidden) {
var _display = _hidden ? 'none' : '';
set_display('billing_addr_state_Row', _display);
this.disable_submit_flag(_hidden);
}
//
-->
</script>
<noscript><br>Required</noscript>
<input type="hidden" name="billing_addr_statesubmit" id="billing_addr_statesubmit" value="true">
<script type="text/javascript">
var comp = new ObservableComponent('billing_addr_state', '');
comp.hide = function(_hidden) {
var _display = _hidden ? 'none' : '';
set_display('billing_addr_state_row', _display);
this.disable_submit_flag(_hidden);
}
function billing_addr_state_listChanged(_evt) {
var e = _evt ? _evt : event; // IE vs. Mozilla event model
if (e) {
var src = e.target ? e.target : e.srcElement; // IE vs. Mozilla event model
fire_obs_comp_event('billing_addr_state', src);
}
}
var el = document.getElementById('billing_addr_state');
if (el) {
Utils.addEvent(el, 'change', billing_addr_state_listChanged);
}
</script><noscript> </noscript>
</div>
</div>
<div id="billing_addr_zip_row" class="form-row form-text">
<div class="form-content">
<span class="field-required"></span>
<label for="billing_addr_zipname">ZIP/Postal Code:</label>
<input type="text" name="billing_addr_zipname" id="billing_addr_zipname" value="" maxlength="50">
<input type="hidden" name="billing_addr_zipsubmit" id="billing_addr_zipsubmit" value="true">
<script type="text/javascript">
var comp = new ObservableComponent('billing_addr_zip', 'name');
comp.hide = function(_hidden) {
var _display = _hidden ? 'none' : '';
set_display('billing_addr_zip_row', _display);
this.disable_submit_flag(_hidden);
}
</script><noscript> </noscript>
</div>
</div>
<div id="donor_email_address_row" class="form-row form-text">
<div class="form-content">
<span class="field-required"></span>
<label for="donor_email_addressname">Email Address:</label>
<input type="text" name="donor_email_addressname" id="donor_email_addressname" value="" maxlength="255">
<input type="hidden" name="donor_email_addresssubmit" id="donor_email_addresssubmit" value="true">
<script type="text/javascript">
var comp = new ObservableComponent('donor_email_address', 'name');
comp.hide = function(_hidden) {
var _display = _hidden ? 'none' : '';
set_display('donor_email_address_row', _display);
this.disable_submit_flag(_hidden);
}
</script><noscript> </noscript>
</div>
</div>
<div class="form-row form-checkbox" id="donor_email_opt_in_Row">
<div class="form-content">
<span class="check-box-form-label-text">You'll receive email updates from Second Harvest. You can unsubscribe at any time.</span>
<input type="hidden" name="donor_email_opt_inname" id="donor_email_opt_inname" value="implicit">
<span class="auto-opt-in-warning-message">If you donate and have not already registered, you will receive periodic updates and communications from Second Harvest Food Bank.</span>
<script type="text/javascript">
var comp = new ObservableComponent('donor_email_opt_in', 'name');
comp.hide = function(_hidden) {
var _display = _hidden ? 'none' : '';
set_display('donor_email_opt_in_Row', _display);
this.disable_submit_flag(_hidden);
}
comp.set = function(_value) {
if (document.getElementById('donor_email_opt_inname')) {
document.getElementById('donor_email_opt_inname').checked = _value;
this.fireEvent();
}
}
comp.get = function() {
if (document.getElementById('donor_email_opt_inname')) return document.getElementById('donor_email_opt_inname').checked;
}
comp.clear = function() {
this.set(false);
}
</script><noscript> </noscript>
<input type="hidden" name="donor_email_opt_insubmit" id="donor_email_opt_insubmit" value="true">
</div>
</div>
<div id="donor_phone_row" class="form-row form-text">
<div class="form-content">
<label for="donor_phonename">Mobile Phone:</label>
<input type="text" name="donor_phonename" id="donor_phonename" value="" maxlength="50">
<input type="hidden" name="donor_phonesubmit" id="donor_phonesubmit" value="true">
<script type="text/javascript">
var comp = new ObservableComponent('donor_phone', 'name');
comp.hide = function(_hidden) {
var _display = _hidden ? 'none' : '';
set_display('donor_phone_row', _display);
this.disable_submit_flag(_hidden);
}
</script><noscript> </noscript>
</div>
</div>
<div id="donor_phone_type_row" class="form-row form-selectlist">
<div class="form-content">
<span class="field-required"></span>
<label class="FormLabel" for="donor_phone_type">Donor Phone Type:</label>
<select name="donor_phone_type" id="donor_phone_type" size="1">
<option value="home_phone">Phone</option>
<option value="work_phone">Work Phone</option>
<option selected="selected" value="mobile_phone">Mobile Phone</option>
</select>
<script type="text/javascript">
<!--
var comp = new ObservableComponent('donor_phone_type', '');
comp.hide = function(_hidden) {
var _display = _hidden ? 'none' : '';
set_display('donor_phone_type_Row', _display);
this.disable_submit_flag(_hidden);
}
//
-->
</script>
<noscript><br>Required</noscript>
<input type="hidden" name="donor_phone_typesubmit" id="donor_phone_typesubmit" value="true">
<script type="text/javascript">
var comp = new ObservableComponent('donor_phone_type', '');
comp.hide = function(_hidden) {
var _display = _hidden ? 'none' : '';
set_display('donor_phone_type_row', _display);
this.disable_submit_flag(_hidden);
}
function donor_phone_type_listChanged(_evt) {
var e = _evt ? _evt : event; // IE vs. Mozilla event model
if (e) {
var src = e.target ? e.target : e.srcElement; // IE vs. Mozilla event model
fire_obs_comp_event('donor_phone_type', src);
}
}
var el = document.getElementById('donor_phone_type');
if (el) {
Utils.addEvent(el, 'change', donor_phone_type_listChanged);
}
</script><noscript> </noscript>
</div>
</div>
<div class="custom-field-container form-row ">
<div class="form-content">
<div class="form-input-label-block">
<label for="mobile_opt_in_dropdown">Mobile Opt In</label>
</div>
<fieldset>
<input type="checkbox" name="mobile_opt_in_radio" id="mobile_opt_in_radio" value="true">
<label class="custom-element-checkbox-label" for="mobile_opt_in_radio">True</label>
</fieldset>
<input type="hidden" name="mobile_opt_insubmit" id="mobile_opt_insubmit" value="true">
</div>
</div>
<div class="form-row">
<div class="html-caption-container">
<!-- reus_mobile_optin -->
<style>
#donor_phone_type_row {
display: none;
}
#donor_phone_type_row+.custom-field-container {
display: inline-block;
width: 22px;
vertical-align: top;
}
#donor_phone_type_row+.custom-field-container .form-input-label-block {
display: none;
}
#donor_phone_type_row+.custom-field-container .form-input-label-block,
#donor_phone_type_row+.custom-field-container .custom-element-checkbox-label {
display: none;
}
#donor_phone_type_row+.custom-field-container+.form-row {
display: inline-block;
width: calc(100% - 30px);
vertical-align: top;
}
</style>
<label for="mobile_opt_in_radio">By entering your phone number and checking this box you are subscribing to receive mobile alerts and donation solicitations from Second Harvest. Message and data rates may apply. Frequency varies. Text
<strong>HELP</strong> for info. Text <strong>STOP</strong> to cancel.</label>
</div>
</div>
<div class="payment-type-element-container">
<div id="payment_cc_container" class="payment-field-container">
<h3>Credit Card Information:</h3>
<div id="payment_typecc_type_row" class="form-row form-radio-array">
<div class="form-content">
<fieldset>
<legend>Credit Card Type:</legend>
<ul class="radio-array-list">
<li class="tender-row ">
<img src="../images/visa_small.gif" alt="Visa" name="payment_typecc_type_Visa" id="payment_typecc_type_Visa">
</li>
<li class="tender-row ">
<img src="../images/discovercard_sm.gif" alt="Discover" name="payment_typecc_type_Discover" id="payment_typecc_type_Discover">
</li>
<li class="tender-row ">
<img src="../images/amex_small.gif" alt="American Express" name="payment_typecc_type_American_Express" id="payment_typecc_type_American_Express">
</li>
<li class="tender-row ">
<img src="../images/mastercd_small.gif" alt="MasterCard" name="payment_typecc_type_MasterCard" id="payment_typecc_type_MasterCard">
</li>
</ul>
</fieldset>
<input type="hidden" name="payment_typecc_typesubmit" id="payment_typecc_typesubmit" value="true">
<script type="text/javascript">
var comp = new ObservableRadioComponent('payment_typecc_type', 'name');
comp.hide = function(_hidden) {
var _display = _hidden ? 'none' : '';
set_display('payment_typecc_type_row', _display);
this.disable_submit_flag(_hidden);
}
</script><noscript> </noscript>
</div>
</div>
<div id="payment_typecc_number_row" class="form-row form-text">
<div class="form-content">
<span class="field-required"></span>
<label for="payment_typecc_numbername">Credit Card Number:</label>
<input type="text" name="payment_typecc_numbername" id="payment_typecc_numbername" value="" maxlength="22" autocomplete="off">
<input type="hidden" name="payment_typecc_numbersubmit" id="payment_typecc_numbersubmit" value="true">
<script type="text/javascript">
var comp = new ObservableComponent('payment_typecc_number', 'name');
comp.hide = function(_hidden) {
var _display = _hidden ? 'none' : '';
set_display('payment_typecc_number_row', _display);
this.disable_submit_flag(_hidden);
}
observe_component('null', new ComponentDisplayer('payment_typecc_number'));
</script><noscript> </noscript>
</div>
</div>
<div id="payment_typecc_exp_date_row" class="form-row form-date">
<div class="form-content">
<span class="field-required"></span>
<label for="payment_typecc_exp_date_MONTH">
<span class="label-text">Expiration Date:</span><span class="aural-only">Select month of credit card</span>
</label>
<label for="payment_typecc_exp_date_YEAR"><span class="aural-only">Select Expiration Year</span></label>
<div class="date-input-container">
<fieldset class="cardExpGroup">
<select name="payment_typecc_exp_date_MONTH" id="payment_typecc_exp_date_MONTH" onchange="fire_obs_comp_event('payment_typecc_exp_date_MONTH', this)">
<option value="1">01</option>
<option value="2">02</option>
<option value="3" selected="selected">03</option>
<option value="4">04</option>
<option value="5">05</option>
<option value="6">06</option>
<option value="7">07</option>
<option value="8">08</option>
<option value="9">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
</select>
<select name="payment_typecc_exp_date_YEAR" id="payment_typecc_exp_date_YEAR" onchange="fire_obs_comp_event('payment_typecc_exp_date_YEAR', this)">
<option value="2024" selected="selected">2024</option>
<option value="2025">2025</option>
<option value="2026">2026</option>
<option value="2027">2027</option>
<option value="2028">2028</option>
<option value="2029">2029</option>
<option value="2030">2030</option>
<option value="2031">2031</option>
<option value="2032">2032</option>
<option value="2033">2033</option>
<option value="2034">2034</option>
</select>
</fieldset>
<input type="hidden" name="payment_typecc_exp_date_DAY" id="payment_typecc_exp_date_DAY" value="1">
<script type="text/javascript">
<!--
var comp1 = new ObservableComponent('payment_typecc_exp_date_MONTH', '');
comp1.hide = function(_hidden) {
var _display = _hidden ? 'none' : '';
set_display('payment_typecc_exp_date_Row', _display);
this.disable_submit_flag(_hidden);
}
var comp2 = new ObservableComponent('payment_typecc_exp_date_YEAR', '');
comp2.hide = function(_hidden) {
var _display = _hidden ? 'none' : '';
set_display('payment_typecc_exp_date_Row', _display);
this.disable_submit_flag(_hidden);
}
//
-->
</script><noscript> </noscript>
</div>
<input type="hidden" name="payment_typecc_exp_datesubmit" id="payment_typecc_exp_datesubmit" value="true">
<script type="text/javascript">
var comp = new ObservableComponent('payment_typecc_exp_date', 'input');
comp.hide = function(_hidden) {
var _display = _hidden ? 'none' : '';
set_display('payment_typecc_exp_date_row', _display);
disable_submit_flag('payment_typecc_exp_datesubmit', _hidden);
}
comp.disable = function(_disabled) {
disable_element('payment_typecc_exp_date_MONTH', _disabled);
disable_element('payment_typecc_exp_date_DAY', _disabled);
disable_element('payment_typecc_exp_date_YEAR', _disabled);
disable_element('payment_typecc_exp_date_HOUR12', _disabled);
disable_element('payment_typecc_exp_date_HOUR24', _disabled); //For UK, 24 hour clock used
disable_element('payment_typecc_exp_date_MINUTE', _disabled);
disable_element('payment_typecc_exp_date_AMPM', _disabled);
}
</script><noscript> </noscript>
</div>
</div>
<div id="payment_typecc_cvv_row" class="form-row form-text cvv-input">
<div class="form-content">
<span class="field-required"></span>
<label for="payment_typecc_cvvname">
<span class="FormLabelText">CVV Number:</span>
</label>
<a href="http://help.convio.net/site/PageServer?s_site=shfbgn&pagename=user_donation_cvv" class="HelpLink" title="What is this? Opens new window.">What is this?</a>
<input type="text" name="payment_typecc_cvvname" id="payment_typecc_cvvname" value="" maxlength="4" autocomplete="cc-csc">
<input type="hidden" name="payment_typecc_cvvsubmit" id="payment_typecc_cvvsubmit" value="true">
<script type="text/javascript">
//chrome is mapping cvv as card name
if (/CriOS/.test(navigator.userAgent) || (/Chrome/.test(navigator.userAgent) && /Google Inc/.test(navigator.vendor))) {
document.getElementById('payment_typecc_cvvname').autocomplete = 'cc-csc';
}
var comp = new ObservableComponent('payment_typecc_cvv', 'name');
comp.hide = function(_hidden) {
var _display = _hidden ? 'none' : '';
set_display('payment_typecc_cvv_row', _display);
this.disable_submit_flag(_hidden);
}
</script><noscript> </noscript>
</div>
</div>
</div>
<input type="hidden" name="payment_typesubmit" id="payment_typesubmit" value="true">
<script type="text/javascript">
function PaymentObserver() {
this.observe = function(_event) {
var sVal = _event.component.get();
switch (sVal) {
case 'check':
hide_element('payment_cc_container');
hide_element('payment_bank_container');
show_element('payment_check_container');
break;
case 'credit':
hide_element('payment_bank_container');
hide_element('payment_check_container');
show_element('payment_cc_container');
break;
case 'ach':
hide_element('payment_cc_container');
hide_element('payment_check_container');
show_element('payment_bank_container');
break;
case 'paypal':
case 'amazon':
case 'mobilepay':
default:
// hide all
hide_element('payment_bank_container');
hide_element('payment_cc_container');
hide_element('payment_check_container');
break;
}
}
}
// Set the observer to show/hide the relevant fields
observe_component('payment_typepay_typeradio', new PaymentObserver());
</script><noscript> </noscript>
</div>
<div class="form-row">
<div class="html-caption-container">
<div class="custom-opt">
<input type="checkbox" id="add_fees" name="add_fees">
<label for="add_fees">I would like 100% of my gift to go towards Second Harvest. <strong>Please add 4% to my donation to assist with the transaction fees.</strong></label>
</div>
</div>
</div>
<div class="button-container clearfix">
<div class="button-sub-container">
<button class="step-button action-button finish-step" type="submit" id="pstep_finish" name="pstep_finish" value="GIVE NOW">GIVE NOW</button>
</div>
</div>
<input type="hidden" name="idb" id="idb" value="1165781486">
<input type="hidden" name="df_id" id="df_id" value="6800">
<input type="hidden" name="mfc_pref" id="mfc_pref" value="T">
<div class="form-row">
<div class="html-caption-container">
<p style="margin: 10px 0 20px; font-size: 12px; color: #484848; max-width: 300px;">Please note: Second Harvest Food Bank does not sell, trade or share a donor's personal information with any other entity nor does Second Harvest Food Bank
send donor mailings on behalf of other organizations.</p>
<script type="text/javascript" src="//smarticon.geotrust.com/si.js"></script>
</div>
</div>
<div class="form-row">
<div class="html-caption-container">
<dialog id="upsell" class="upsell">
<div class="upsell__close">
<span>×</span>
</div>
<div class="upsell__container">
<div class="upsell__image">
<img src="../images/content/pagebuilder/redesign_upsell-image.png" alt="">
</div>
<div class="upsell__content">
<h3> Wait! Will you change your gift to a monthly donation of $<span class="js-upsell-amount">0</span>? </h3>
<!-- <form method="dialog"> -->
<label for="upsell_custom_amount"> Or enter your own amount: <input type="number" name="upsell_custom_amount" min="5" id="upsell_custom_amount" class="js-upsell-custom">
</label>
<div>
<p> Become a monthly donor now to provide meals year-round for hungry children, families and seniors in your community. </p>
<div class="upsell__actions">
<button id="upsell-confirm" value="default">
<span class="big">YES!</span>Process my monthly gift. </button>
<button id="upsell-reject" value="cancel">
<span>No thanks.</span>Continue with my one-time gift. </button>
</div>
</div>
<!-- </form> -->
</div>
</div>
</dialog>
</div>
</div>
</div>
<input type="hidden" name="6800.donation" id="6800.donation" value="form1">
</div>
<script type="text/javascript">
var submitted = false;
function checkDoubleClick() {
var elCheck = '';
if (elCheck == 'el') {
alert('Form submission is not enabled when previewing an individual data element.');
return false;
} else if (submitted) {
alert('You have already submitted this payment. Please wait....');
return false;
} else {
submitted = true;
return true;
}
}
</script><noscript> </noscript>
</form>Text Content
HELP FEED OUR NEIGHBORS HELP BUY A VAN TO DELIVER FOOD TO MORE HUNGRY NEIGHBORS With more people in our community facing hunger, Second Harvest needs to deliver 20% more meals for children and seniors to locations across South Louisiana this summer. That's enough for three full new meal delivery routes! Without a new van, we simply won't be able to reach everyone who needs meals this summer. Make a gift today to help raise $50,000 for a new meal delivery van by 3/15. Looking to make a gift in honor of a loved one? Go to this page. GIFT AMOUNT (REQUIRED) One-Time Monthly Giving monthly is the most effective way to help us fight hunger year-round. Field Is Required Enter A Gift Amount: $100.00 $100 Helps provide 400 meals $150.00 $150 Helps provide 600 meals $200.00 $200 Helps provide 800 meals $500.00 $500 Helps provide 2000 meals Other Enter amount $15.00 $15 / mo $25.00 $25 / mo $35.00 $35 / mo $50.00 $50 / mo Other / mo Enter amount Make this an automatic monthly gift. WILL PROVIDE 300 MEALS. BILLING INFORMATION (REQUIRED) First Name: Last Name: Street 1: Street 2: City: State/Province: AK - Alaska AL - Alabama AR - Arkansas AZ - Arizona CA - California CO - Colorado CT - Connecticut DC - District of Columbia DE - Delaware FL - Florida GA - Georgia HI - Hawaii IA - Iowa ID - Idaho IL - Illinois IN - Indiana KS - Kansas KY - Kentucky LA - Louisiana MA - Massachusetts MD - Maryland ME - Maine MI - Michigan MN - Minnesota MO - Missouri MS - Mississippi MT - Montana NC - North Carolina ND - North Dakota NE - Nebraska NH - New Hampshire NJ - New Jersey NM - New Mexico NV - Nevada NY - New York OH - Ohio OK - Oklahoma OR - Oregon PA - Pennsylvania RI - Rhode Island SC - South Carolina SD - South Dakota TN - Tennessee TX - Texas UT - Utah VA - Virginia VT - Vermont WA - Washington WI - Wisconsin WV - West Virginia WY - Wyoming AS - American Samoa FM - Federated States of Micronesia GU - Guam MH - Marshall Islands MP - Northern Mariana Islands PR - Puerto Rico PW - Palau VI - Virgin Islands AA - Armed Forces Americas AE - Armed Forces AP - Armed Forces Pacific AB - Alberta BC - British Columbia MB - Manitoba NB - New Brunswick NL - Newfoundland and Labrador NS - Nova Scotia NT - Northwest Territories NU - Nunavut ON - Ontario PE - Prince Edward Island QC - Quebec SK - Saskatchewan YT - Yukon None Required ZIP/Postal Code: Email Address: You'll receive email updates from Second Harvest. You can unsubscribe at any time. If you donate and have not already registered, you will receive periodic updates and communications from Second Harvest Food Bank. Mobile Phone: Donor Phone Type: Phone Work Phone Mobile Phone Required Mobile Opt In True By entering your phone number and checking this box you are subscribing to receive mobile alerts and donation solicitations from Second Harvest. Message and data rates may apply. Frequency varies. Text HELP for info. Text STOP to cancel. CREDIT CARD INFORMATION: Credit Card Type: * * * * Credit Card Number: Expiration Date:Select month of credit card Select Expiration Year 01 02 03 04 05 06 07 08 09 10 11 12 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 CVV Number: What is this? I would like 100% of my gift to go towards Second Harvest. Please add 4% to my donation to assist with the transaction fees. GIVE NOW Please note: Second Harvest Food Bank does not sell, trade or share a donor's personal information with any other entity nor does Second Harvest Food Bank send donor mailings on behalf of other organizations. × WAIT! WILL YOU CHANGE YOUR GIFT TO A MONTHLY DONATION OF $0? Or enter your own amount: Become a monthly donor now to provide meals year-round for hungry children, families and seniors in your community. YES!Process my monthly gift. No thanks.Continue with my one-time gift. PLEASE NOTE OUR NEW EMAIL ADDRESS Email : givetoday@no-hunger.org New Orleans Facility Phone : 504.734.1322 700 Edwards Avenue New Orleans, LA 70123 Lafayette Facility Phone : 337.237.7711 215 East Pinhook Lafayette, LA 70501 Second Harvest Food Bank of Greater New Orleans and Acadiana is a 501c3 organization. EIN 72-0956468 Careers | Privacy Policy | Terms and Conditions | Newsroom | Contact Us | Non-discrimination Statement © 2022 Second Harvest Food Bank